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GeoAnalytical LaboAtories, Inc. Lab Repor## L3 G'� 3A <br /> Regulatory ❑ Yes ❑ No CC: ❑ Yes ❑ No <br /> 1405 Kansas Avenue, Suite "A" Phone: (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209)572-0916 <br /> Phone: eV5 ) �fY&!f/Z 8 <br /> Client: �1y 1—x F ,AUG _._ CHAIN OF CUSTODY Fax: ( ) <br /> Address: Peg. i�o 7c 5/A:Z Original To: IF Z /`'x <br /> City 1�41-LE , CA -- Zip <br /> �. Lab Use Only <br /> Project ID r y-- <br /> (Print Name) ` �g4 .j" �0 _ <br /> Sampled ByZ��� <br /> (Signature) Container P <br /> Sample type z <br /> Sample ID s Lab ID# 10Date Time 4 . <br /> Grab Comp MaUix Type i Size <br /> 12'2 x W — C V /� j X X Remarks]L�7450- : .: <br /> z <br /> !z i L 31 Z: <br /> I•'3 3 i t* 2 <br /> rJI L �-& <br /> 1 02i <br /> Remarks <br /> Relinquished by(Signature) Date Ti a Received by(Signature} Dat Time <br /> Relinquished by(signature) Date Time Received by(Signature) D to lim <br /> Preservative Matrix <br /> Q-4°C Q-H(,l- Q-NaOH Q-Na2S203 Q-HNO3 Q-H2 S 04 0-Other Drinking Water taWaste Water 4W Hazardous Waste(Water) QSoiUSolid <br /> Site Time: ?rime Mileage <br /> Driving Time: <br /> Start: Finish: Total Hours: Start: Site Arrival: x2=Total: <br /> TurnaroundTime ❑Standard ❑Silver Rush ❑Gold Rush ❑Platinum Rush ❑Other: Approved By: <br />